Reducing Boarding in a Post-Anesthesia Care Unit

• 成果类型: Article
• 署名作者: Price, Carter; Golden, Bruce; Harrington, Michael; Konewko, Ramon; Wasil, Edward; Herring, William
• 署名单位: RAND Corporation; University System of Maryland; University of Maryland College Park; University System of Maryland; University of Maryland Baltimore; Johns Hopkins University; Johns Hopkins Medicine; American University; University System of Maryland; University of Maryland College Park
• 刊物名称: PRODUCTION AND OPERATIONS MANAGEMENT
• ISSN/ISSBN: 1059-1478
• DOI: 10.1111/j.1937-5956.2011.01225.x
• 发表日期: 2011
• 页码: 431-441
• 关键词: scheduling; integer programming; simulation

摘要

When operating room schedules in hospitals are produced, the constraints and preferences of surgeons and hospital workers are a primary consideration. The downstream impact on post-operative bed availability is often ignored. This can lead to the boarding of patients overnight in the post-anesthesia care unit (PACU) because intensive care unit beds are unavailable. In this paper, we apply integer programming and simulation to develop improved surgical scheduling assignments. We want to balance new surgeries with hospital discharges in order to reduce the variability of occupied beds from one day to the next and, as a result, to reduce boarding in the PACU.